心理治疗的会谈间体验对治疗效果的影响——来自追踪研究的证据

采用多层线性分析方法,在短程心理咨询的连续会谈中检验来访者的会谈间体验对咨询效果的影响。以36名个案、151次会谈为样本,结果发现,来访者的症状总体呈线性下降趋势;不同来访者症状变化的速率存在个体差异,会谈间体验的情绪因子能解释症状变化速率总变异的40.79%。结论：在短程心理咨询中,来访者想起咨询会谈或/和咨询师时的情绪体验能显著预测咨询效果。     

孤独症谱系障碍者情绪躯体语言的注意偏向

情绪躯体语言是在社交场合中传递情绪信息的典型非字面语言形式,包含重要社交信息。本研究从注意偏向角度考察孤独症个体的情绪躯体语言加工特点和认知机制。实验1采用点探测范式向被试呈现高兴、愤怒、恐惧、悲伤情绪躯体语言图片,考察孤独症个体的注意偏向特点。结果显示孤独症组未表现出对某类情绪躯体语言的注意偏向。实验2进一步采用生态效度更高的自由浏览范式考察孤独症组对情绪躯体语言图片的眼动特点。结果显示孤独症组对悲伤躯体语言注意回避,对高兴躯体语言注意增强和注意解离困难。结果表明,孤独症个体对不同类型的情绪躯体语言的注意偏向特征不同。自由浏览范式对于识别孤独症情绪躯体语言的注意偏向特点具有较高的灵敏性。     

日常情绪的社会分享对情绪的影响

日常情绪的社会分享对情绪有怎样的影响,以往研究结论并不一致。本研究从社会分享的信息层面和感受层面以及当天情绪体验等方面收集了47名大学生和研究生被试7天共314份日志记录,使用多层线性模型进行分析,结果表明：（1）积极分享和消极分享都能显著正向预测当日的积极情绪,但是不能预测当日的消极情绪;（2）感受的分享（包括积极感受和消极感受）显著正向预测当日的积极情绪,信息的分享不能预测当日的积极情绪;（3）性别、抑郁水平和消极事件分享倾向会影响分享消极感受的水平对积极情绪的正向预测。结论：无论是积极感受分享还是消极感受分享都能提升积极情绪,但是不能改善负性情绪;消极感受分享对积极情绪的提升作用存在个体差异。     

老年住院患者孤独及其与抑郁、焦虑情绪的相关研究

采用UCLA孤独量表和18项简明症状问卷（BSI-18）对487名老年住院患者的孤独、焦虑、抑郁情绪进行调查分析。结果显示,（1）老年住院患者存在不同程度的孤独感、抑郁和焦虑情绪,男性患者的躯体症状、抑郁情绪和焦虑情绪重于女性患者。高学历患者躯体症状、抑郁情绪和焦虑情绪轻于低学历患者,有配偶患者孤独感低于无配偶的老年患者。（2）老年住院患者的孤独感与躯体症状、抑郁、焦虑呈正相关,且焦虑和抑郁能显著预测老年住院患者的孤独感。     

当事人的投入与会谈效果、咨询效果的关系研究

本研究探索了当事人会谈时的投入与即时会谈效果的关系;当事人咨询初期的投入与整体咨询效果的关系。结果发现当事人会谈时的投入与即时会谈效果、在咨询初期的投入与整体咨询效果都呈现显著的正相关。进一步回归分析发现,当事人在咨询初期的投入与整体咨询效果呈现正U型的偏态分布,少数投入水平最低的当事人获得中等水平的咨询效果,中等投入水平的当事人咨询效果最差,投入水平最高的当事人的咨询效果最好。     

心理咨询中的突然获益：工作同盟及初始症状的影响

对82位当事人在咨询中的症状改变过程进行纵向研究,检验突然获益模式（Sudden Gain, SG）的发生及其与咨询效果的联系,并探索初始症状水平、工作同盟对SG的影响。结果表明,24.93%的当事人经历了SG,咨询效果显著好于其他当事人;SG组与对照组在初始症状水平和总体工作同盟水平上差异显著。结论：SG出现于本土心理咨询中,经历SG的当事人取得了更好的咨询效果,工作同盟与初始症状水平与SG的发生相关。     

综合性医院中抑郁症患者述情障碍与躯体化症状的研究

1　前言　　综合性医院就诊者中心理障碍患者占 2 4 % ,其中抑郁症为 1 0 4 %。一部分抑郁症患者具有明显的躯体化症状 ,多以躯体病就诊 ;一部分抑郁症患者不具有明显的躯体化症状 ,以情绪障碍症状为主诉。国内已对心身疾病、神经症、物质依赖的抑郁症患者述情障碍进行研究 ,我们进一步研究抑郁症患者述情障碍与躯体化症状之间的关系。述情障碍 (ａｌｅｘｉｔｈｙｍｉａ)主要表现为对情绪状态描述困难 ,少幻想和实用性思维方法 ,人际关系僵化。述情障碍者难以区别情绪状态和躯体感觉 ,描述躯体不适较多 ,因为他们常过分关注自己的躯体感受 …     

大学生社交焦虑对躯体变形障碍的影响：外表拒绝敏感性的中介作用

躯体变形障碍在大学生群体中具有较高的发病率,在其发展过程中,社交焦虑是重要的预测因素;然而两者潜在的中介机制却未得到研究者关注。本研究采用问卷调查法,旨在大学生 (N = 875)中探究外表拒绝敏感性在社交焦虑与躯体变形障碍之间的中介作用。结果发现： (1) 社交焦虑显著正向预测外表拒绝敏感性与躯体变形障碍,且外表拒绝敏感性显著正向预测躯体变形障碍; (2) 外表拒绝敏感性在社交焦虑与躯体变形障碍之间具有显著的部分中介作用。本研究发现,个体的社交焦虑可直接影响躯体变形障碍,也可通过提高外表拒绝敏感性间接影响。     

话务员成就目标与工作倦怠关系的研究

目的:探讨话务员成就目标与工作倦怠的关系。方法:采用修订的成就目标量表、工作倦怠量表调查270名移动一线话务员。结果:1.掌握目标取向与负性的情绪耗竭以及玩世不恭存在显著负相关,而与成就动机存在显著正相关;2.表现趋向以及表现回避与情绪耗竭、玩世不恭存在显著正相关,与成就动机存相关系数不显著;3.掌握目标取向负向预测情绪耗竭以及玩世不恭,而正向预测成就动机,而表现回避正向预测情绪耗竭和玩世不恭。结论:掌握目标取向的个体感受的倦怠程度越低,而表现回避和表现趋向的得分越高的个体感受职业倦怠程度越高。     

科技干扰与青少年智能手机成瘾的关系：情绪症状和环境敏感性的作用

本研究以问卷法对湖北省两所中学共3219名初一至初三的中学生进行调查,建立结构方程模型来考察在家庭环境中由于父母使用科技设备而产生的科技干扰对青少年智能手机成瘾的影响机制。结果发现：（1）科技干扰不仅能直接正向预测青少年智能手机成瘾,还能通过情绪症状的中介作用间接预测青少年智能手机成瘾;（2）环境敏感性在情绪症状对青少年智能手机成瘾的影响中起显著的调节作用,具体而言,较高的环境敏感性能够缓冲情绪症状对青少年智能手机成瘾的影响。     

Linguistic Reflections on Psychotherapy: Change in Usage of The First Person Pronoun in Information Structure Positions

Aim of present study was to understand changes in speech of clients with regard to certain linguistic features from 5th to 15th session of psychotherapy. First person pronoun use in information structure positions were analyzed in speech of clients. Participants of this study were 11 psychotherapists (clinical psychology master and doctorate students) and 16 clients (applicants to AYNA Psychotherapy Unit). In present study word count results of clinets’ speeches were analyzed by ANOVA method. According to results, use of first person pronoun changed significantly in preverbal position from 5th to 15th sessions of psychotherapy. Findings of this study suggest that, psychotherapy leads to certain linguistic changes, and these changes discussed to be means of understand change of clients during psychotherapy     

Text messaging, personality, and the social context

The purpose of this research was to undertake some analyses of how the language used in text messaging varies as a function of personality traits and the interpersonal context. After completing personality questionnaires, participants provided their most recent text messages and indicated their relationship with the message recipient on several dimensions. Correlations between Linguistic Inquiry and Word Count (LIWC) categories and personality traits and relationship status were examined. There were significant correlations between certain LIWC categories and extraversion (e.g., personal pronouns), neuroticism (e.g., negative emotion words) and agreeableness (e.g., positive emotion words), suggesting that personality traits are displayed in how one texts. One of the defining features of texting - linguistic alterations (e.g., abbreviations) - varied as a function of both personality traits and relationship status. Overall, the results provide a snapshot of what text messages look like, and how they reflect the texter’s personality and the interpersonal context.     

Caregivers’ Positive Emotional Expression and Children’s Psychological Functioning after Parental Loss

The death of a loved one, particularly a parent, has been identified as not only the most common, but also the most distressing form of adversity youth may experience in their lifetime. Surviving caregivers’ communication with their children may play a critical role in shaping bereaved children’s psychological functioning. However, few studies have examined the specific content (e.g., word usage) of caregivers’ verbal communication as a predictor of psychological functioning in bereaved youth. In a sample of 39 parentally-bereaved children and their surviving caregivers, we investigated whether the frequency of caregivers’ use of positive emotion words (e.g., “love”, “happy”, “hope”) during a reminiscing task about the deceased was associated with children’s psychological functioning and coping. In a cross-sectional analysis, we specifically examined whether these associations were moderated by the amount of time passed since children lost their parents. The Linguistic Inquiry and Word Count Program (LIWC) was used to code and evaluate the percentage of positive emotion words caregivers used during the discussion. When caregivers used more positive emotion words, children were less likely to experience depression, anxiety, and avoidant coping. Those associations were present for children who had experienced parental loss at least 105 days prior to the study.     

Measuring emotional expression with the Linguistic Inquiry and Word Count

The Linguistic Inquiry and Word Count (LIWC) text analysis program often is used as a measure of emotion expression, yet the construct validity of its use for this purpose has not been examined. Three experimental studies assessed whether the LIWC counts of emotion processes words are sensitive to verbal expression of sadness and amusement. Experiment 1 determined that sad and amusing written autobiographical memories differed in LIWC emotion counts in expected ways. Experiment 2 revealed that reactions to emotionally provocative film clips designed to manipulate the momentary experience of sadness and amusement differed in LIWC counts. Experiment 3 replicated the findings of Experiment 2 and found generally weak relations between LIWC emotion counts and individual differences in emotional reactivity, dispositional expressivity, and personality. The LIWC therefore appears to be a valid method for measuring verbal expression of emotion.     

The Distinctiveness of Emotion Words: Does It Hold for Foreign Language Learners? The Case of Arab EFL Learners

Empirical evidence has recently been provided for the distinctiveness of emotion words as compared to abstract and concrete words for monolinguals, calling for a reconsideration of the relation between emotion and language. The present study investigates whether the distinctiveness of emotion words among monolinguals holds for foreign language learners. To this end, three groups (n?=?120 per group) of late Arabic-English bilinguals who learned English as a foreign language completed tasks including free recall, rating, and discrete word association. One group completed the tasks in Arabic while the other two groups, representing two levels of foreign language exposure, completed the tasks in English. Planned comparisons indicated the distinctiveness of emotion words in the participants’ first and foreign languages in the free recall and rating tasks while no significant differences were found in the word association task. The results are discussed in light of the existing literature and relevant theoretical models.     

Expressive disclosure and benefit finding among breast cancer patients: mechanisms for positive health effects.

A randomized trial (n = 60; A. L. Stanton, S. Danoff-Burg, L. A. Sworowski, et al., 2002) revealed that 4 sessions of written expressive disclosure or benefit finding produced lower physical symptom reports and medical appointments for cancer-related morbidities at 3-month follow-up among breast cancer patients relative to a fact-control condition. The goal of this article is to investigate mechanisms underlying these effects. Within-session heart rate habituation mediated effects of expressive disclosure on physical symptoms, and greater use of negative emotion words in essays predicted a decline in physical symptoms. Postwriting mood and use of positive emotion and cognitive mechanism words in essays were not significant mediators, although greater cognitive mechanism word use was related to greater heart rate habituation and negative emotion word use.     

中性抽象词和具体词情绪信息获得的差异

采用词汇迫选学习范式考察不同类型词汇获得情绪信息的认知机制。结果发现：（1）在迫选过程中与积极图片匹配的具体词汇喜好度显著高于与消极图片匹配的喜好度,而抽象词学习并未表现出这样的效应。（2）积极图片下被选择词汇的喜好度显著高于未被选择词汇的喜好度,而消极图片下被选择词汇与未被选择词汇的喜好度差异不显著。该结果表明具体词相较于抽象词更易获得相应情绪信息,积极情绪比消极情绪信息更易被习得。     

We have travelled a long distance and sorted out the mess in the drawers: Metaphors for moving towards the end in psychotherapy

Aim: To explore the process of ending in psychotherapy, in particular how clients and therapists draw on their notions of client improvements and prepare for the upcoming end. Data: The data comes from an intensive process‐outcome study at the University of Oslo, Norway. The study includes audio‐recording from all sessions and separate post‐therapy interviews with clients and therapists. Twelve psychotherapy dyads were selected because they had reached a ‘good enough’ ending. Therapy duration ranged from 7–43 months. The number of sessions ranged from 10–67. Method and analysis: A hermeneutical‐phenomenological approach analysed and combined the observational and reflexive data. The analysis was carried out using a method for systematic text condensation and through reflexive dialogues with the material and between the researchers. Findings and discussion: The language of improvement towards the end of treatment seemed packed with metaphors conveying growth in both affective and relational management. Metaphors based on travel (how they have moved); cleaning (how they have cleaned up and sorted out things); sensing (how the clients have grown stronger, got their heads above water and see things differently); and the clients’ feeling of having received something (gifts or tools) are widely used. Such metaphors are created in the interaction with a mutual sensitivity to their capacity to confirm and regulate affect towards the end. In this sense, the metaphors celebrate accomplishments in a way that exceeds therapy, and the client can keep them to use afterwards.     

The construction of emotional experience: State‐related emotional awareness and its application to psychotherapy research and practice

The cognitive–developmental theory of ‘levels of emotional awareness’ (LEA) addresses an individual's capacity to experience and express emotion, a capacity highly relevant to psychotherapy. Previous papers on LEA and psychotherapy addressed the aspect of LEA theory pertaining to the ‘trait’ (i.e. enduring) aspects of an individual's emotional functioning over time. LEA theory also applies to the construction of emotional experience at any given moment, in which levels emerge or disappear in a process of microgenetic construction as a function of arousal and other variables. This state‐related perspective is supported by recent research showing that people vary in their LEA from moment to moment. Momentary changes in LEA correspond to the variations in lived experience that occur in relationships, including the therapy relationship, and provide the context for corrective emotional experiences that promote change. In this paper, the construction of emotional experience at different levels of organisation is discussed separately in relation to clients and therapists. Key phenomena relevant to psychotherapy include the transition from bodily sensations to specific differentiated emotional feelings, the ability to be aware of multiple feelings that may be contradictory or counter‐intuitive, and the appreciation of how complex combinations of feelings may differ in self and other. This perspective adds to the literature on how the integration of emotion and cognition contributes to change in psychotherapy. The clinical and research implications of this perspective are discussed.